Obesity Center

Displaying 5 treatments.

Sleeve Gastrectomy (Gastric Sleeve)

Sleeve Gastrectomy (Gastric Sleeve)

Sleeve gastrectomy, also called a vertical sleeve gastrectomy, is a surgical weight-loss procedure. This procedure is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions into the upper abdomen. During sleeve gastrectomy, around 80 percent of the stomach is removed, leaving a tube-shaped stomach about the size and shape of a banana.

Limiting the size of your stomach restricts the amount of food you are able to consume. In addition, the procedure prompts hormonal changes that assist with weight loss. The same hormonal changes also help relieve conditions such as high blood pressure or heart disease that are caused by being overweight. The effect of sleeve gastrectomy surgery is not only to reduce the volume of the stomach but also it has a serious effect on the hunger hormone secreted from the stomach while the stomach is reduced to a tube shape. The desire for food decreases, the brain feels less hungry, therefore sleeve gastrectomy surgery creates not only a mechanical effect, but also a hormonal effect.

General Information | Bariatric Surgery

What is Obesity Surgery

An effective way of losing weight and resolving obesity-related health problems Obesity is the excessive accumulation of fat in the body to the extent that it adversely affects health. If the amount of body’s fat is more than normal, the person is obese. The normal amount of body’s fat varies with age and gender. The body fat increases with age in both men and women. Obesity is a chronic disease. When deciding a person is obese or not, first of all, body mass index (BMI) is calculated in line with the criteria determined by the World Health Organization. Body mass index is obtained by dividing your weight (kg) by the square of your height (in meters) (kg/m2).

  • Normal Weight

BMI : 18.50 – 24.99 kg/m2

  • Overweight

BMI : 25.00 – 29.99 kg/m2

  • Obesity, Stage I

BMI : 30.00 – 34.99 kg/m2

  • Severe Obesity, Stage II

BMI : 35.00 – 39.99 kg/m2


  • Morbid Obezity, Stage III

BMI : ≥40.00 kg/m2

What are the treatment methods of obesity?

  • Medical Nutrition Therapy
  • Exercise Therapy
  • Behavior modification therapy
  • Medical treatment (pills that impair fat absorption or satiety injections)
  • Endoscopic interventions (stomach botox, gastric balloon, endoscopic gastric plication, etc.)
  • Surgical treatment

What is Bariatric Surgery?

Obesity is a chronic disease and negatively affects all organs and causes other health problems. Bariatric surgery is the surgical treatment of obesity. Bariatric surgery is a variety of surgeries that help you lose weight by making changes to your digestive system. If obesity cannot be treated with other methods other than surgery, surgical treatment is considered. On the other hand, the most effective method is surgery.

Who Can Have Bariatric Surgery?

  • Patients with BMI≥40 kg/m2
  • Patients with BMI≥35 kg/m2 and at least one health problem caused by obesity
  • Patients with BMI of 30-34.9 kg/m2 and type 2 diabetes that cannot be controlled by medical treatment

Make an Appointment

  • We will send you a confirmation within 24 hours. More information ? Call +90-242–212-1919

Our hospital, which has a closed area of 12.000 m2 with its experienced management, doctors, health personnel and expert staff, has been providing health services in the Döşemealtı region as Private Termessos Hospital as of July 2018.

Bariatric Surgery | During Hospital Stay

In the operating room

  • When you come to the operating rooms entrance, the nurse will take you to the operating room after doing some controls.
  • When you lie on the operating table, some instruments will be attached to your body in order to follow you closely during the operation and to control your breathing and heartbeat.
  • You will then be put to sleep quickly with anesthesia.
  • You will not feel pain during the operation.
  • The duration of the operation may change depending on the type of surgery.

When You Come To Your Room

  • When you are brought to your room, you will have green surgical clothes, serum in vascular access, probe, and compression stockings.
  • First of all, nurses and assistant staff will take you to bed, dress you in the clothes you brought before, and warm you up.
  • The nurse will make some controls (such as blood pressure, pulse, temperature) and will inform you about what you need to do after the surgery.
  • You will be able to convey all your problems to your nurse.
  • If you experience nausea, pain or shortness of breath, inform your nurse.

Should I exercise after surgery?

  • From the day of the surgery, you should start moving by getting out of bed and taking steps, even if it is a short distance. You need to increase the duration of exercise day by day. Also, don’t forget to do deep breathing and coughing exercises regularly as your nurse will teach you.
  • Moving and exercising after the surgery will help your recovery process.
  • Changing positions in the bed while lying in the hospital, moving our arms and feet when we cannot get up, increases blood circulation and accelerates your recovery.
  • After the operation, your nurse will walk you first and tell you how to do it. Afterwards, you should take frequent walks until discharge.
  • Factors such as obesity, sleep apnea, anesthesia, surgeries increase the chance of clots. You are also in this risk group. This is why blood thinner injections are made. It is very important to start walking early after the surgery, not to sit or lie down for a long time, in order to prevent clot formation.
  • Before the surgery, you should start doing the deep breathing and coughing exercises taught by your nurse. Deep breathing will make you feel better, increase the oxygen level of your blood and speed up the healing of your wound. Deep breathing and coughing are very important in restoring your lungs after general anesthesia (narcosis), preventing infection and expelling sputum. For these reasons, you should repeat the breathing and coughing exercises hourly.

In the recovery unit after surgery

  • After your surgery is completed, you will be sent to the recovery unit.
  • When you wake up, you will have an oxygen cannula/mask in your nose, serum in your arm, urinary catheter and the socks you wear to prevent clots on your feet.
  • It will be important that you take care to breathe deeply.
  • You will be warmed with a blanket to bring your body temperature back to normal/to prevent you from getting cold.
  • If everything goes well when you wake up, your nurse will send you to the service with a staff member.
  • Your relatives / companion will be waiting for you at the door.
  • In case of any problems during or after the operation or depending on your additional diseases, you can also stay in the intensive care unit for a while after the operation. Your doctor will decide whether you should be brought to the intensive care unit or service in accordance with your health condition

What should I do when I have pain?

  • During the post-operative hospital period, you will be given medication to relieve your pain. If you feel pain despite the treatment, please inform your nurse.
  • When you have pain, you can evaluate your pain with a score between 0 and 10. “0” means you have no pain, “10” means you feel unbearable pain that you can’t even imagine.
  • Pain from laparoscopic bariatric surgery is less than expected. However, the intensity of pain is different for everyone. After the surgery, some feel a lot of pain, some feel little pain. Do not let pain prevent you from breathing deeply, moving and sleeping comfortably.

How should I eat after surgery?

  • You will start eating and drinking at the time your doctor and nurse decide in accordance with your post-operative health condition and surgery. Your feeding process will be in four stages.
  • In the first stage after the surgery, you will only consume clear liquids (such as water, tea) in the hospital.
  • It is important that you do not eat anything other than what was given to you at the hospital.
  • You should drink the liquids given to you very slowly, in at least 30 minutes.
  • You should stop eating immediately when you feel fullness or discomfort.
  • Day after surgery
  • Do the breathing exercise.
  • Sit in a chair while eating or drinking.
  • Walk every two hours or more often.
  • Let your nurse know when you have pain.

Before the Bariatric Surgery

What awaits you in the pre-operative preparation process?

The decision to have bariatric surgery is a life changing decision. In this direction, change should begin from the moment you make a decision. Before you have the surgery, you should start making changes in your lifestyle such as starting exercise, quitting smoking, changing diet and alcohol use.

When you come to the general surgery outpatient clinic, your doctor will ask you for some tests and counseling from other departments in order to evaluate whether you are suitable for surgery. Departments such as dietitian, psychiatry, endocrinology, cardiology, gastroenterology will examine you about whether you can have surgery and will do the necessary tests. Then, the general surgeon decides that you can have bariatric surgery if there is no problem in your general health condition, together with the tests and opinions of other doctors.

Surgery preparations begin. In this process, an appointment is made from the anesthesia polyclinic and the doctor evaluates whether you are ready for surgery with some tests such as blood tests, EKG, chest X-ray.

Before the surgery;

  • Quit smoking 2 months before the surgery. Smoking increases the possibility of health problems that may occur during and after surgery.
  • Remind your doctor if you have sleep apnea before surgery.
  • Before the operation, you must inform your doctor about the medications you use regularly. You may need to make medication adjustments before surgery.
  • Start diet before surgery.
  • Start with the level of exercise you can do before the surgery (such as walking). Try to increase gradually. Walk for 150-250 minutes a week.
  • Pre-operative examinations should be completed during this process.

One day before surgery

  • The night before the operation, your nurse will prepare you for the operation and give you information about it
  • You should stop all eating and drinking (including water) from the night before the surgery until the morning of the surgery.
  • Do not shave the surgical site with products such as razor blades or depilatory creams before the operation. Do not use products such as creams or perfumes.
  • Be sure to have a relative with you.
  • If you have complaints such as cold, cough, sore throat, be sure to inform your doctor.
  • Sleep well at night.

On the morning of the surgery;

  • Take your shower on the morning of the surgery. Wear clean clothes.
  • Do not use products such as creams, perfumes, lotions.
  • Remove your nail polish and make-up.
  • Remove any jewelry, if any.
  • Brush your teeth.
  • Before going to the operation, your nurse will bring you a bonnet and apron.
  • Take off your clothes completely and wear the apron with the closed part forward.
  • Put on the cap so that it covers your hair.
  • Make sure to deliver your valuables to your relatives or other trusted ones during the operation.
  • When the surgery time comes, you will be taken to the operating room accompanied by a staff member.

Possible Risks

  • Allergic conditions
  • Blood clot
  • Lung infection
  • Death
  • Hernia (incision site hernia)
  • Bleeding
  • Gallbladder Stones
  • Dumping syndrome
  • Leakage
  • Reflux
  • Nausea and vomiting
  • Constipation
  • Hair loss
  • Intestinal obstructions
  • Vitamin and mineral deficiencies
  • Depression